| NPI | 1770826984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T9474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103317) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-09-29 |